CMS is issuing preliminary guidance to states on the implementation of new federal payment limits for state directed payments (SDPs) in Medicaid managed care.

The buck stops here. We’ve got to clean up the system. With these words, Dr. Mehmet Oz, now at the helm of the Centers for Medicare and Medicaid Services (CMS), signaled a pivotal moment for Medicaid ...

Trump administration expands efforts to prevent illegal immigrants from receiving public health benefits through a new initiative that establishes monthly verification.

WASHINGTON – The Centers for Medicare and Medicaid Services (CMS), under the new administration, has made combating fraud, ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

The Department of Health and Human Services released its final rule for the Medicaid Recovery Audit Contractor program last month, and it is expected to save taxpayers roughly $2.1 billion over the ...

A constant refrain from the Trump administration about rooting out fraud, waste and abuse isn’t just about budget cuts. For nursing homes, it may signal increasing audit risk and a rise in burdensome ...

The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to ...

The Trump administration is taking its immigration crackdown to the health care safety net, launching Medicaid spending ...

The Centers for Medicare and Medicaid Services said in 2024 that Medicaid's improper payment rate was about 5.1 percent, KFF ...

The U.S. Department of Justice sued a California public health insurance plan on Wednesday, accusing it of misspending ...